page_title: Karel Frederik Wenckebach
section_title: Contributions in cardiology
hierarchical_section_title: Karel Frederik Wenckebach / Contributions in cardiology
caption_attribution_description: English: Sinus rhythm with acute inferior infarction complicated by Type II A-V block manifest in the form of 5:4 Wenckebach periods; R-P/P-R reciprocity.
context_page_description: Karel Frederik Wenckebach was a Dutch anatomist who was a native of the Hague.
  He studied medicine in Utrecht, and in 1901 become a professor of medicine at the University of Groningen. Later he was a professor at the Universities of Strasbourg and Vienna.
context_section_description: Wenckebach is primarily remembered for his work in cardiology. In 1899 he provided a description of irregular pulses due to partial blockage of atrioventricular conduction, creating a progressive lengthening of conduction time in cardiac tissue. The condition was referred to as a "second degree AV block" and later named the "Wenckebach phenomenon" and reclassified as Mobitz type I block in Mobitz's 1924 paper. A similar phenomenon can also occur in the Sinoatrial node where it gives rise to Type I second degree SA block, and this is also known as a Wenckebach block; the two have distinct features on an ECG however.
  Wenckebach is credited for describing the median bundle of the heart's conductive system that connects the sinoatrial node to the atrioventricular node. This bundle was named Wenckebach's bundle, and is also known as the middle internodal tract. Wenckebach's bundle is one of the three internodal pathways, the others being the "posterior internodal tract" (Thorel's pathway), and the "anterior internodal tract" (some fibers of which also project to Bachmann's bundle, and then into the left atrium).
  Wenckebach was an early advocate involving the use of quinine for treatment of paroxysmal atrial fibrillation.
caption: Sinus rhythm with acute inferior infarction complicated by Type I A-V block manifest in the form of 5:4 Wenckebach periods; R-P/P-R reciprocity.
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